MEDRADSC 3DH3 Lecture Notes - Lecture 2: Assisted Suicide, Group Dynamics, Antibiotics
18 Jun 2018
School
Department
Course
Professor
Foundational Principles of Palliative Care
Review:
The aim of pall care is to prolong life – FALSE
The term supportive care can appropriately be used in place of pall care– TRUE, pall care is all to
support their quality of life, end of life is a subset of pall care
The Disease Centred Model of Care best describes the approach used in health care today for
providing pall care-- FALSE
There is a lack of understanding by Canadians about what palliative care means and how it can
help to ensure that we and those we love are able to make that journey to the end of life with
dignity.
The jurisdictions that allow physician assisted death, such as Belgium and the Netherlands, have
strong palliative care programs and, as a result, it is argued that demand for physician assisted
death is relatively low, comprising less than 3% of all deaths.
Depends on where you live in Canada, creating strategies to overcome this problem
Principles of Palliative Care
Does anyone know who this is?
oEnglish Anglican nurse, social worker, physician and writer, involved with many
international universities
oStarted the hospice movement in 1967.
find more resources at oneclass.com
find more resources at oneclass.com
“The last stages of life should not be seen as defeat, but rather as life’s fulfillment. It is not
merely a time of negation but rather an opportunity for positive achievement. One of the ways
we can help our patients most is to learn to believe and to expect this.”
WHO expands on the definition of palliative care through these principles
Is a type of health care for patients and families facing life-threatening illness
provides relief from pain and other distressing symptoms
affirms life and regards dying as a normal process
intends neither to hasten or postpone death
offers a support system to help patients to live as actively as possible
offers a support system to help the family cope during the patients’ illness and in their own
bereavement
respects people’s social, spiritual and cultural practices
requires a team approach
will enhance quality of life, and may also positively influence course of illness
is applicable early in the course of illness, in conjunction with other therapies that are intended
to prolong life, such as chemo or RT(T), and includes those investigations needed to better
understand and mange distressing clinical complications
is most effective when the care is integrated at the clinical, organizational, and overall system
level
The Illness Experience
Lives change dramatically;
oSymptoms, functional and psychological changes, change in roles and relationships,
losses of opportunity, income, financial security
Affects person, family, support network (including work)
oLeadership role at work may change, group dynamics
Can be perceived as a threat to capacity for meaningful and valuable experiences
Unique to each situation (one size does not fit all)
Must be managed effectively or issues can compound
For society, a family’s suffering….
Domains of Care
find more resources at oneclass.com
find more resources at oneclass.com
Disease management
oPrimary Dx, prognosis, evidence
oSecondary Dx (dementia, psychiatric, substance use, trauma)
oCo-morbidities
oAdverse events (side effects)
oAllergies
Physical
oPain and other symptoms
oLOC, cognition
oFunction, safety, aids:
Motor
Senses
Physiologic
Sexual
oFluids, nutrition
oWounds
oHabits (alcohol/smoking)
Psychological
oPersonality, strengths, behavior, motivation
oDepression, anxiety
oEmotions
oFears
oControl, dignity, independence
oConflict, guilt, stress, coping responses
oSelf-image, self-esteem
Loss/grief
oBereavement planning
omourning
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
The aim of pall care is to prolong life false. The term supportive care can appropriately be used in place of pall care true, pall care is all to support their quality of life, end of life is a subset of pall care. The disease centred model of care best describes the approach used in health care today for providing pall care-- false. There is a lack of understanding by canadians about what palliative care means and how it can help to ensure that we and those we love are able to make that journey to the end of life with dignity. Depends on where you live in canada, creating strategies to overcome this problem. Does anyone know who this is: english anglican nurse, social worker, physician and writer, involved with many international universities, started the hospice movement in 1967. The last stages of life should not be seen as defeat, but rather as life"s fulfillment.
